A school nurse is teaching the guardians of adolescents about the importance of the human papillomavirus (HPV) vaccine.
Which of the following information should the nurse include?
Reassure the parents that HPV is a rare infection and the vaccine is unnecessary.
Instruct the guardians to wait until their adolescent tells them they have been sexually active to vaccinate.
Explain that only female adolescents should receive the HPV vaccine.
Provide information to guardians about the prevalence of HPV infections and the potential consequences.
The Correct Answer is D
This scenario involves adolescent health promotion and preventative medicine strategies regarding immunization. Knowledge of viral transmission, oncology related to HPV strains, and public health education techniques is required to provide accurate information to guardians about the benefits of early vaccination series.
Choice A rationale
HPV is actually the most common sexually transmitted infection globally. Reassuring parents that it is rare is scientifically inaccurate and compromises preventative health efforts aimed at reducing future cervical, anal, and oropharyngeal cancer risks in the population.
Choice B rationale
The vaccine is most effective when administered before any sexual exposure occurs. Waiting for sexual activity disclosure often results in missing the optimal window for developing maximum antibody titers against high-risk oncogenic viral strains in young adolescents.
Choice C rationale
Both males and females require vaccination to prevent transmission and associated cancers. Males can develop penile or oropharyngeal cancers from HPV, and vaccinating them also provides herd immunity that further protects their future partners from viral exposure.
Choice D rationale
Educating guardians about high prevalence and serious consequences like cancer improves vaccine uptake. Evidence shows that providing factual data on infection rates and long-term health risks helps parents make informed decisions regarding their child’s preventative healthcare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse must apply knowledge of pediatric cardiac rehabilitation post-surgical repair of an atrial septal defect. Effective repair restores normal hemodynamics, allowing children to engage in physical activities. Assessment of the child's tolerance is essential to ensure safety during aerobic team sports.
Choice A rationale
Successful surgical closure of an atrial septal defect typically restores normal cardiac function and pulmonary pressures. Once fully recovered, children are encouraged to lead active lives and participate in team sports according to their individual physical stamina and tolerance.
Choice B rationale
Restricting a child to individual sports is medically unnecessary following a successful surgical repair. Unless specific complications like residual pulmonary hypertension exist, there is no physiological reason to forbid team sports, which promote essential social and physical development.
Choice C rationale
Limiting the child to basic activities like bike riding is overly restrictive post-repair. While low-impact activities are safe, most children can resume full athletic participation. Avoiding sports altogether can lead to physical deconditioning and unnecessary psychosocial isolation.
Choice D rationale
Prohibiting all sports participation is incorrect because surgical repair aims to permit a normal lifestyle. Complete restriction is only indicated in rare cases of severe heart failure or significant arrhythmias, which are not standard outcomes for ASD repair.
Correct Answer is ["290"]
Explanation
Step 1 is 14.5 kg × 20 mg/kg/day = 290 mg/day. The calculated dose is 290 mg per day.
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